ネパール の バルディア 地区 の サール 族 の 中 で の 細胞 病 に 関する 知識,態度,および 慣行 に 影響 する 要因
Sabina Sankhi1, Bharati Kusumya Tharu1, Narendra Chaudhary1
1Department of Pharmacy, Modern Technical College, Pokhara University, Lalitpur, Nepal.
まとめ
ネパール で の 粗悪 な 処置 に よっ て,シークル 細胞 病 (SCD) の 予防 が 妨げ られ て いる
科学分野:
- 公衆衛生
- 遺伝学
- 社会学
背景:
- ネパール バルディアのサルー族の健康に重大な問題を抱えています.
- 知識,態度,実践 (KAP) のギャップは,効果的なSCDの予防と管理を妨げています.
- これらのKAPの要因を理解することは,標的型の介入にとって極めて重要です.
研究 の 目的:
- ネパール バルディア 地区のサルー コミュニティのSCDに関する知識,態度,慣行に影響を与える要因を評価する.
- SCDに関連する KAPの人口統計的,社会経済的決定要因を特定する.
主な方法:
- ネパールのバーディア地区の423人のサルー人を対象としたコミュニティベースの横断的な研究です.
- 多段階のランダムサンプリングで,半構造的なアンケートを使って面接でデータを収集します.
- 統計的分析にはピアソンのチ平方と多変数ロジスティック回帰が含まれていた.
主要な成果:
- 74.5%がSCDに関する良好な知識を持ち,70%がSCDに対する肯定的な態度を示したが,81.8%は不適切な実践を示した.
- 識字率,特定の職業 (労働者,農夫,主婦),男性の性別,低い富の五分位数,および年齢 ≥30歳は,知識の不足,否定的な態度,または悪い慣行と関連していました.
- 慣行に影響を与えた主な要因には,年齢,性別,教育,職業,収入が含まれています.
結論:
- 十分な知識とポジティブな態度にもかかわらず,SCDに関連する慣行は,Tharuコミュニティ内で貧しいままです.
- 介入は,慣行に影響を与える社会経済的および人口学的要因に対処しなければなりません.
- 文化に敏感な戦略として 啓発キャンペーン,学校教育,スクリーニング,遺伝カウンセリングは 慣行を改善し,SCDの負担を軽減するために不可欠です.
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